MyMedi-AI

E2202 — Manual wheelchair accessory, nonstandard seat frame width, 24-27 inches

HCPCS Level II E-code · short descriptor: “Seat width 24-27 in”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E2202 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $483.57 to $742.08 depending on state and rural status.

StateNon-ruralRural
AK$674.52
AL$552.49$637.89
AR$552.49$637.89
AZ$530.98$637.89
CA$535.77$637.89
CO$600.32$637.89
CT$520.60$637.89
DC$483.57$637.89
DE$483.57$637.89
FL$552.49$637.89
GA$552.49$637.89
HI$674.52
IA$571.52$637.89
ID$600.32$637.89
IL$562.87$637.89
IN$562.87$637.89
KS$571.52$637.89
KY$552.49$637.89
LA$552.49$637.89
MA$520.60$637.89
MD$483.57$637.89
ME$520.60$637.89
MI$562.87$637.89
MN$571.52$637.89
MO$571.52$637.89
MS$552.49$637.89
MT$600.32$637.89
NC$552.49$637.89
ND$571.52$637.89
NE$571.52$637.89
NH$520.60$637.89
NJ$483.57$637.89
NM$530.98$637.89
NV$535.77$637.89
NY$483.57$637.89
OH$562.87$637.89
OK$530.98$637.89
OR$535.77$637.89
PA$483.57$637.89
PR$742.08
RI$520.60$637.89
SC$552.49$637.89
SD$571.52$637.89
TN$552.49$637.89
TX$530.98$637.89
UT$600.32$637.89
VA$552.49$637.89
VI$674.52
VT$520.60$637.89
WA$535.77$637.89
WI$562.87$637.89
WV$552.49$637.89
WY$600.32$637.89

NU + KU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $675.47 to $810.59 depending on state and rural status.

Former-CBA payment limits: ceiling $675.47 · floor $574.15

StateNon-ruralRural
AK$675.47
AL$675.47
AR$675.47
AZ$675.47
CA$675.47
CO$675.47
CT$675.47
DC$675.47
DE$675.47
FL$675.47
GA$675.47
HI$675.47
IA$675.47
ID$675.47
IL$675.47
IN$675.47
KS$675.47
KY$675.47
LA$675.47
MA$675.47
MD$675.47
ME$675.47
MI$675.47
MN$675.47
MO$675.47
MS$675.47
MT$675.47
NC$675.47
ND$675.47
NE$675.47
NH$675.47
NJ$675.47
NM$675.47
NV$675.47
NY$675.47
OH$675.47
OK$675.47
OR$675.47
PA$675.47
PR$810.59
RI$675.47
SC$675.47
SD$675.47
TN$675.47
TX$675.47
UT$675.47
VA$675.47
VI$675.47
VT$675.47
WA$675.47
WI$675.47
WV$675.47
WY$675.47

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $48.36 to $74.23 depending on state and rural status.

StateNon-ruralRural
AK$67.45
AL$55.25$63.79
AR$55.25$63.79
AZ$53.10$63.79
CA$53.58$63.79
CO$60.03$63.79
CT$52.06$63.79
DC$48.36$63.79
DE$48.36$63.79
FL$55.25$63.79
GA$55.25$63.79
HI$67.45
IA$57.15$63.79
ID$60.03$63.79
IL$56.29$63.79
IN$56.29$63.79
KS$57.15$63.79
KY$55.25$63.79
LA$55.25$63.79
MA$52.06$63.79
MD$48.36$63.79
ME$52.06$63.79
MI$56.29$63.79
MN$57.15$63.79
MO$57.15$63.79
MS$55.25$63.79
MT$60.03$63.79
NC$55.25$63.79
ND$57.15$63.79
NE$57.15$63.79
NH$52.06$63.79
NJ$48.36$63.79
NM$53.10$63.79
NV$53.58$63.79
NY$48.36$63.79
OH$56.29$63.79
OK$53.10$63.79
OR$53.58$63.79
PA$48.36$63.79
PR$74.23
RI$52.06$63.79
SC$55.25$63.79
SD$57.15$63.79
TN$55.25$63.79
TX$53.10$63.79
UT$60.03$63.79
VA$55.25$63.79
VI$67.45
VT$52.06$63.79
WA$53.58$63.79
WI$56.29$63.79
WV$55.25$63.79
WY$60.03$63.79

RR + KU — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $67.55 to $81.10 depending on state and rural status.

Former-CBA payment limits: ceiling $67.55 · floor $57.42

StateNon-ruralRural
AK$67.55
AL$67.55
AR$67.55
AZ$67.55
CA$67.55
CO$67.55
CT$67.55
DC$67.55
DE$67.55
FL$67.55
GA$67.55
HI$67.55
IA$67.55
ID$67.55
IL$67.55
IN$67.55
KS$67.55
KY$67.55
LA$67.55
MA$67.55
MD$67.55
ME$67.55
MI$67.55
MN$67.55
MO$67.55
MS$67.55
MT$67.55
NC$67.55
ND$67.55
NE$67.55
NH$67.55
NJ$67.55
NM$67.55
NV$67.55
NY$67.55
OH$67.55
OK$67.55
OR$67.55
PA$67.55
PR$81.10
RI$67.55
SC$67.55
SD$67.55
TN$67.55
TX$67.55
UT$67.55
VA$67.55
VI$67.55
VT$67.55
WA$67.55
WI$67.55
WV$67.55
WY$67.55

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $362.68 to $556.56 depending on state and rural status.

StateNon-ruralRural
AK$505.91
AL$414.37$478.44
AR$414.37$478.44
AZ$398.24$478.44
CA$401.83$478.44
CO$450.24$478.44
CT$390.45$478.44
DC$362.68$478.44
DE$362.68$478.44
FL$414.37$478.44
GA$414.37$478.44
HI$505.91
IA$428.64$478.44
ID$450.24$478.44
IL$422.15$478.44
IN$422.15$478.44
KS$428.64$478.44
KY$414.37$478.44
LA$414.37$478.44
MA$390.45$478.44
MD$362.68$478.44
ME$390.45$478.44
MI$422.15$478.44
MN$428.64$478.44
MO$428.64$478.44
MS$414.37$478.44
MT$450.24$478.44
NC$414.37$478.44
ND$428.64$478.44
NE$428.64$478.44
NH$390.45$478.44
NJ$362.68$478.44
NM$398.24$478.44
NV$401.83$478.44
NY$362.68$478.44
OH$422.15$478.44
OK$398.24$478.44
OR$401.83$478.44
PA$362.68$478.44
PR$556.56
RI$390.45$478.44
SC$414.37$478.44
SD$428.64$478.44
TN$414.37$478.44
TX$398.24$478.44
UT$450.24$478.44
VA$414.37$478.44
VI$505.91
VT$390.45$478.44
WA$401.83$478.44
WI$422.15$478.44
WV$414.37$478.44
WY$450.24$478.44

UE + KU — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $506.62 to $607.95 depending on state and rural status.

Former-CBA payment limits: ceiling $506.62 · floor $430.63

StateNon-ruralRural
AK$506.62
AL$506.62
AR$506.62
AZ$506.62
CA$506.62
CO$506.62
CT$506.62
DC$506.62
DE$506.62
FL$506.62
GA$506.62
HI$506.62
IA$506.62
ID$506.62
IL$506.62
IN$506.62
KS$506.62
KY$506.62
LA$506.62
MA$506.62
MD$506.62
ME$506.62
MI$506.62
MN$506.62
MO$506.62
MS$506.62
MT$506.62
NC$506.62
ND$506.62
NE$506.62
NH$506.62
NJ$506.62
NM$506.62
NV$506.62
NY$506.62
OH$506.62
OK$506.62
OR$506.62
PA$506.62
PR$607.95
RI$506.62
SC$506.62
SD$506.62
TN$506.62
TX$506.62
UT$506.62
VA$506.62
VI$506.62
VT$506.62
WA$506.62
WI$506.62
WV$506.62
WY$506.62
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related E-codes

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